Organization Active NPI

Adams Area Ambulance Service Joint Powers Board

  • Land Ambulance
  • Adams, MN
National Provider Identifier
1477638658
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0002 Issued in MN
Legal business name
ADAMS AREA AMBULANCE SERVICE JOINT POWERS BOARD
Practice address
16 E Main St
Adams, MN 55909-5002
Phone
(507) 582-3601
Fax
(507) 582-3589
NPI assigned
Oct 26, 2006
Last updated
Jul 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lesley D Heimer
Title
Secretary
Phone
(612) 756-1649

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0002 MN Primary
Land Ambulance 3416L0300X 1908 MN

Addresses

Primary practice location

16 E Main St
Adams, MN 55909-5002

Mailing address

PO Box 89
Adams, MN 55909-0089
Phone (612) 756-1649

Other identifiers 6

IdentifierTypeStateIssuer
060508002OtherMNMETROPOLITAN HEALTH PLAN
520768100MedicaidMN
8183059OtherTXMEDICA INS CO
32003ADOtherMNBCBS OF MN
160237OtherMNUCARE MN
88619OtherMNMAYO MANAGEMENT SERVICES

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lheimer@adamsamb.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110318000676 MN Part B Supplier - Ambulance Service Supplier 4880877489 Practice locations: Adams, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0979643Adams Area Ambulance Service16 East Main St, Adams, MN 55909Certificate of waiverOct 26, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1477638658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 89",
            "city": "ADAMS",
            "state": "MN",
            "postal_code": "559090089",
            "telephone_number": "612-756-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E MAIN ST",
            "city": "ADAMS",
            "state": "MN",
            "postal_code": "559095002",
            "telephone_number": "507-582-3601",
            "fax_number": "507-582-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS AREA AMBULANCE SERVICE JOINT POWERS BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "HEIMER",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "612-756-1649"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": "0002",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MN",
            "license": "1908",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METROPOLITAN HEALTH PLAN",
            "identifier": "060508002",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "520768100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA INS CO",
            "identifier": "8183059",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "32003AD",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MN",
            "identifier": "160237",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAYO MANAGEMENT SERVICES",
            "identifier": "88619",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lheimer@adamsamb.net",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16 E Main St",
            "city": "Adams",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559095002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Adams, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.